Active NPI
Eric Morrison Vernberg, PH.D.
- Clinical Child & Adolescent Psychologist
- Lawrence, KS
National Provider Identifier
1760674808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- LP846
- Practice address
- 1000 Sunnyside Ave
Clinical Child Psychology Program
Lawrence, KS 66045-7555 - Phone
- (785) 864-3582
- Fax
- (785) 864-5024
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | LP846 | KS | Primary |
Addresses
Primary practice location
1000 Sunnyside Ave
Clinical Child Psychology Program
Lawrence, KS 66045-7555
Mailing address
1000 Sunnyside Ave
Clinical Child Psychology Program
Lawrence, KS 66045-7555
Phone (785) 864-3582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP846 | KS | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1760674808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SUNNYSIDE AVE",
"address_2": "CLINICAL CHILD PSYCHOLOGY PROGRAM",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457555",
"telephone_number": "785-864-3582",
"fax_number": "785-864-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SUNNYSIDE AVE",
"address_2": "CLINICAL CHILD PSYCHOLOGY PROGRAM",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457555",
"telephone_number": "785-864-3582",
"fax_number": "785-864-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNBERG",
"first_name": "ERIC",
"middle_name": "MORRISON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "KS",
"license": "LP846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.